一个人工智能系统用于糖尿病视网膜病变查的真实世界性能
Lina Berrada1,2,3, Laurent Crenier4, Maria Lytrivi5,4
1ULB Center for Diabetes Research, Medical Faculty, Université Libre de Bruxelles, Brussels, Belgium. lina.berrada@ulb.be.
Scientific reports
|February 6, 2026
概括
一个人工智能 (AI) 系统有效地选糖尿病视网膜病变 (DR),这是导致失明的主要原因. 这种人工智能工具证明了在糖尿病护理中对现实世界的临床使用的高准确性和可行性.
科学领域:
- 眼科医生 眼科 眼科
- 医疗成像医学成像
- 人工智能的人工智能
背景情况:
- 糖尿病视网膜病变 (DR) 是全球可预防失明的主要原因.
- 糖尿病患病率的增加使眼科查服务受到压力.
- 人工智能 (AI) 为可扩展的DR查提供了潜力.
研究的目的:
- 评估基于AI的DR查系统的现实世界性能.
- 评估人工智能系统在内分泌临床环境中的准确性和可行性.
主要方法:
- 患有糖尿病的成年患者接受了非脑膜底部摄影.
- 人工智能系统分析了可参考DR和糖尿病黄斑的图像.
- 人工智能性能与使用ETDRS分类的专家评分进行了比较.
主要成果:
- 人工智能系统在可引用的DR检测中实现了96.5%的AUC.
- 敏感度为88.9%,特异性为98.7%.
- 在人口统计和临床子组中,高准确度是一致的.
结论:
- 人工智能系统证明了DR查的稳定性,通用性和操作可行性.
- 基于人工智能的查可以支持糖尿病患者的常规临床护理.
- 更高的HbA1c和更长的糖尿病持续时间在AI和人类分级中预测可参考的DR.
相关概念视频
Pathophysiology of Diabetes
3.6K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.6K
Diabetes: Management and Pharmacotherapy
1.1K
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
1.1K
Psychoneuroimmunology: Diabetes and Cancer
506
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
506
Real Number System
1.2K
The real number system includes all numbers used for counting, measuring, and comparing quantities. Natural numbers are the basic counting numbers: 1, 2, 3, and so on. Integers expand this set by including zero and negative whole numbers: ..., –3, –2, –1, 0, 1, 2, .... Rational numbers are those that can be expressed as the ratio of two integers m/n, where n≠0. This includes fractions like 1/2, integers such as 46, and decimals that terminate, such as 0.17, or...
1.2K
Diabetes: Symptoms, Diagnosis, and Complications
2.4K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.4K
Diabetes Mellitus: Type 2 and Gestational
5.0K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
5.0K


